Commentary|Podcasts|September 30, 2026

Episode 176: BBP-418 and the Changing Treatment Landscape of LGMD

Mind Moments®, a podcast from NeurologyLive®, brings you an exclusive interview with Katherine Matthews, MD. [LISTEN TIME: 17 minutes]

Episode 176 of the NeurologyLive® Mind Moments® podcast is now live! Scroll down to listen or click here to subscribe on your favorite streaming service.

The Mind Moments podcast features exclusive interviews with leaders in the field discussing the latest research and disease management strategies across the breadth of neurology, including epilepsy, multiple sclerosis (MS), Parkinson disease, dementia, sleep disorders, and more.

In this special episode of Mind Moments, released in recognition of Limb-Girdle Muscular Dystrophy (LGMD) Awareness Day on September 30, Katherine Mathews, MD, professor of pediatrics and neurology at the University of Iowa Carver College of Medicine, joins the podcast to discuss the evolving treatment landscape for LGMD and the potential significance of BBP-418, an investigational oral therapy for LGMD2I/R9.

With an FDA decision expected by November 27, 2026, BBP-418 could become the first approved therapy for LGMD2I/R9 and potentially the first treatment approved for any form of LGMD. Mathews breaks down the therapy's FKRP-targeted mechanism, findings from the phase 3 FORTIFY study, and the challenges of conducting clinical trials across genetically diverse and slowly progressive forms of LGMD. She also discusses what a first approval could mean for the broader LGMD community, considerations for bringing patients back into specialty care, and research priorities that could accelerate development of future therapies.

The stories featured in this week’s Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here:

EPISODE BREAKDOWN

  • 1:15 – BBP-418's mechanism and therapeutic rationale for FKRP-related LGMD2I/R9
  • 4:00 – FORTIFY findings supporting BBP-418's potential effects on muscle and pulmonary function
  • 7:50 – Why genetic heterogeneity and slow progression complicate LGMD clinical trials
  • 10:10 – Neurology News Minute
  • 12:45– What a first FDA-approved LGMD therapy could mean for patients and clinicians
  • 15:40 – Research priorities for accelerating clinical trials and developing future LGMD therapies

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